Provider Demographics
NPI:1356461214
Name:APOLLO MEDICAL TRANS INC
Entity Type:Organization
Organization Name:APOLLO MEDICAL TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDELGADIR
Authorized Official - Middle Name:YOUSIF
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-437-5735
Mailing Address - Street 1:486 KENNEDY BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2662
Mailing Address - Country:US
Mailing Address - Phone:201-437-5735
Mailing Address - Fax:
Practice Address - Street 1:486 KENNEDY BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2662
Practice Address - Country:US
Practice Address - Phone:201-437-5735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAPO100055343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)